Tackling the double burden through double-duty actions
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Corinna Hawkes POLICY SEMINAR Virtual Event - The New Nutrition Reality: Time to Recognize and Tackle the Double Burden of Malnutrition! DEC 1, 2020 - 09:30 AM TO 11:15 AM EST
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Tackling the double burden through double-duty actions
- 1. Tackling the double burden through double- duty actions The New Nutrition Reality: Time to Recognize and Tackle the Double Burden of Malnutrition! IFPRI Seminar, December 1 2020 Professor Corinna Hawkes Director, Centre for Food Policy, City, University of London Distinguished Fellow, George Institute for Global Health Vice-Chair, London’s Child Obesity Taskforce
- 2. What is double- duty? “Interventions, programmes, and policies that simultaneously prevent or reduce the risk of both nutritional deficiencies leading to underweight, wasting, stunting and/or micronutrient deficiencies, and problems of obesity/DR-NCDs” (Hawke, Ruel et al, 2020)
- 3. Why act double- duty? • Shared drivers • Efficiency • Opportunity
- 4. 1. Shared drivers for undernutrition and obesity/NCDs • Diet. Healthy diets are beneficial whatever the nutritional risk. Thus actions that promote healthy diets will be, de facto, double duty actions. • Early nutrition. Links between early growth and development & onset of NCDs means action that promote healthy growth will be, de facto, double duty actions (breastfeeding).
- 5. 2. Efficiency 3. Opportunity • Obesity is a risk factor for complications and death from COVID-19 • Undernutrition is predicted to rise as a result of COVID-19 • More efficient to take actions to reduce the risk of both; financing & other resources could be more efficiently used & spent • Delivery platforms are available through which actions & financing designed to reduce undernutrition could be designed to also reduce risk of obesity. • Health systems; social protection systems; education systems; food systems
- 6. Yet historically, ‘nutrition’ policies & programmes have not leveraged shared drivers….
- 7. Nor efficiency…. …nor opportunities 0 0.1 0.2 0.3 0.4 0.5 0.6 Undernutrition Obesity/DR-NCDs Percentage of Overseas Development Assistance, 2016 Source: Global Nutrition Report Source: NCDA/Spectrum. Unhealthy commodity industries and COVID-19, 2020
- 8. Why double-duty now? • In reacting to COVID-19, we must learn from the past, when undernutrition programmes have raised the risk of obesity Colombia PeruBrazil MexicoEgypt Chile Chile
- 9. Mexico: Conditional Cash Transfer Program (Progresa/Oportunidades) Pioneer program (1997-2019) aimed to break the intergenerational transmission of poverty by incentivizing families to invest in their children Positive impacts on poverty, health, education, women’s empowerment, nutrition Also associated with maternal overweight, obesity, risk of NCDs (esp. urban) Cash Educ -ation Health Nutri -tion
- 10. Egypt food subsidy programme 1941-2014 (reformed in 2019) aims to ensure social equity and prevent malnutrition: • Subsidy for bread, flour • Targeted ration card for vulnerable groups rice, sugar, cooking oil, and black tea • 71 million enrolled in ration card Beneficiaries of targeted ration Womens. BMI Child stunting Diet diversity Meat, fish, vegetables
- 11. Taking into account 4 common drivers, double duty actions are delivered through 4 platforms for 4 double impacts Source: Hawkes C, Ruel M et al. Lancet 2020
- 14. Double Duty is about Designing actions Differently to address the Double burden Deliberately, not Doing away with what we already Do THANK YOU!
Editor's Notes
- I am here to talk about new rpeort that IPES Food is publishing today on food polcies designed to tackle the challenges posed by the food system, including NCDs Policies that can help address NCDs at an urban level; its not only about NCDs; in fact its not even mainly focused on NCDs, but I think that’s actually something we can learn from and I will come back to that later
- Not the same as dealing with both of them – but seperately I am here to talk about new rpeort that IPES Food is publishing today on food polcies designed to tackle the challenges posed by the food system, including NCDs Policies that can help address NCDs at an urban level; its not only about NCDs; in fact its not even mainly focused on NCDs, but I think that’s actually something we can learn from and I will come back to that later
- I am here to talk about new rpeort that IPES Food is publishing today on food polcies designed to tackle the challenges posed by the food system, including NCDs Policies that can help address NCDs at an urban level; its not only about NCDs; in fact its not even mainly focused on NCDs, but I think that’s actually something we can learn from and I will come back to that later
- I am here to talk about new rpeort that IPES Food is publishing today on food polcies designed to tackle the challenges posed by the food system, including NCDs Policies that can help address NCDs at an urban level; its not only about NCDs; in fact its not even mainly focused on NCDs, but I think that’s actually something we can learn from and I will come back to that later
- What we did in this paper was to look at how existing actins could influence these common drivers to produce double impacts